SHANNON MARIE HERMAN (NPI# 1689023558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689023558 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE HERMAN |
| Credential | PHARM D |
| Practice Address |
966 Route 59 Antioch IL 60002 |
| Practice Telephone | 8473957104 |
| Mailing Telephone | 8473957104 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-287610 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424104 | Shannon Herman | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-14 |
| 1780717009 | Shannon Susanne Herman | Counselor | 661 Justin Rd, Rockwall, TX 75087-4821 | 2007-03-14 |
| Street Address |
966 ROUTE 59 |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043660707 | Keith Mierzwa | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| 1417032715 | Wal-mart Stores, Inc | Technician/Technologist | 475 E. Route 173, Antioch, IL 60002 | 2006-10-26 |
| Find all providers in zip 60002 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396355939 | Jhung Hyun Hong | Pharmacist | 5485 Rathdrum Way, Antioch, CA 94531-8675 | 2020-08-07 |
| 1578129664 | Gao Chong | Pharmacist | 2425 Johns Way, Antioch, CA 94531-8367 | 2019-05-14 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1235655143 | Modupe Onakoya | Pharmacist | 3130 Buchanan Rd, Antioch, CA 94509-4427 | 2017-08-22 |
| 1013462001 | Deleca Latrice Reynolds-barnes | Pharmacist | 2401 Edge O Lake Dr, Antioch, TN 37013-5755 | 2016-08-18 |
| 1609224468 | Deanna Dobler-wilkes | Pharmacist | 5601 Deer Valley Rd # 4216, Antioch, CA 94531-8577 | 2016-06-01 |
| 1083014021 | Thong Vo | Pharmacist | 5464 Oak Chase Dr, Antioch, TN 37013-4246 | 2014-08-27 |
| 1912319310 | Teresa Elaine Mcnesby | Pharmacist | 3632 Lone Tree Way, Antioch, CA 94509-6001 | 2014-05-20 |
| 1932530342 | Matthew Bui | Pharmacist | 2114 Sumac Way, Antioch, CA 94509-8988 | 2013-12-11 |
| 1679900310 | Huong Lai | Pharmacist | 3304 Michelangelo Ct, Antioch, CA 94509-9383 | 2013-09-26 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.